Individual
MR. CHARLES DAVANT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8439 VALLEY BLVD., BLOWING ROCK, NC 28605-9052
(828) 295-3116
(828) 295-4388
Mailing address
321 MULBERRY ST SW, MEDICAL STAFF SERVICES, LENOIR, NC 28645-5720
(828) 757-5965
(828) 757-5104
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17944
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8927131
—
NC
Enumeration date
04/17/2006
Last updated
03/17/2021
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